Individual
STEPHANIE MELISSA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
(910) 864-8222
Mailing address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
(910) 864-8222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26231
NC
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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